oral med Flashcards
Common deficiencies causing angular chelitis:
Often presents with an associated candidal / staph infection.
- iron deficiency
- B12 deficiency
- folate deficiency
A 50 year old man presents with multiple crusting lesions and ulcers on the LHS of his face. He noticed a tingling sensation beforehand and the rash has been present for a week.
Which virus is the potential cause?
Herpes Zoster - shingles
- herpes zoster comes from the varicella zoster virus which also causes chickenpox.
- not the same as herpes simplex but can be treated the same.
Which virus is associated with the development of hairy leukoplakia?
epstein barr virus
Which form of candidal infection has a risk of becoming malignant?
chronic hyperplastic candidiasis
Target lesions are commonly seen in which type of condition?
erythema multiforme
combined with oral lesions and eye problems - type 3 sensitivity reaction in response to medications.
(not the same as steven’s-johnson syndrome)
Features of Minor RAS
- occurs on non-keratinised mucosa
- present in the front of the mouth
- lasts up to 2 weeks
- heal without scarring
- up to 1cm in size
Shillings Test can be done to identify which deficiency?
B12
A 14 year old presents with bilateral, painful enlargement of the parotid gland.
What is the likely diagnosis?
mumps
Kaposi’s Sarcoma is associated with which virus?
HHV8
Common characteristics of trigeminal neuralgia?
- brief stabbing pain
- unilateral
- mandibular branch most commonly impacted
What is the first line drug of choice for trigeminal neuralgia?
carbamazepine - (sodium channel blocker)
Which blood tests should be carried out to monitor carbamazepine?
liver function tests
What would be a potential complication of temporal arteritis if left untreated?
blindness
Squamous cell papilloma’s are commonly caused by which virus?
HPV
Syphilis is commonly caused by which bacteria?
treponema pallidum
What would be prescribed to a pt suffering from shingles?
aciclovir
A 20 year old man presents with a buccal swelling associated with his partially erupted wisdom tooth.
Which type of cyst is this most likely to be?
paradental cyst
What is another name for mumps?
acute sialadenitis
Which medication can cause a black tongue?
heartburn / indigestion meds (pepto-bismol)
What is a white/grey lesions that disappears on stretching?
leukoedema
What is the therapeutic range for warfarin?
3-3.5
What are sublingual varicosites / varices?
Superficial veins on the ventral tongue - increased prevalence with age.
What are fordyce spots and where are they found?
Ectopic / superficial sebaceous glands on commissure.
Multiple yellow coloured granules.
What are fimbrae plicate?
Fabricated fold of tongue that runs either side of lingual frenulum - normal residual tissue.